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Bilateral Cerebrovascular Stroke as an Initial Presenting Symptom of Moyamoya Disease

Ester Ilyayeva1, Khaled Nada1, Roxane Farahi Far1

  • 1Lincoln Medical and Mental Health Center, 234 E 149Th St., Bronx, NY 10451, USA.

Case Reports in Critical Care
|December 13, 2018
PubMed

Moyamoya disease is a rare condition affecting the circle of Willis and its branching arteries. While the pathogenesis is unclear, it causes progressive occlusion of multiple cerebral vessels leading to severe strokes. We report a case of a 47-year-old Hispanic woman with HTN presented with altered mental status and bilateral upper and lower extremity weakness with dystonic-like upper extremity movement. Serial brain CTs and angiography were performed which showed massive frontal and parietal cerebral infarcts with radiological evidence of moyamoya disease.

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